Medical-Surgical RN
Oakes, North Dakota
Oakes Community Hospital

Registered Nurse (RN) – Medsurg

Location: Oakes, North Dakota
Contract Length: 13 weeks

Unit & Patient Population

• Medsurg unit with 20 beds
• Nurse-to-patient ratio: 1:5
• Common patient diagnoses: Falls, Congestive Heart Failure (CHF), bowel obstruction, Atrial Fibrillation (A-fib), Swingbed patients, and others
• Critical Access Hospital environment requiring versatility and teamwork

Shift & Scheduling

• 12-hour shifts: 7a-7p or 7p-7a (Nights)
• Block scheduling available depending on staffing needs
• Schedule posted 6 weeks in advance
• Weekend requirement: every 3rd weekend or more if desired
• Holiday shifts included in rotation if available
• No on-call or standby requirements
• Floating to ER to assist as needed (flexibility appreciated)

Required Certifications & Skills

• BLS (AHA), ACLS (AHA), PALS (AHA)
• NIHSS and TNCC if working in ER (preferred but not mandatory)
• Confident in nursing assessments, infusion pump use, medication administration
• Strong social skills, teamwork, and reliability required
• ER experience preferred but first-time travelers are welcome

Clinical Responsibilities

• RNs titrate drips including Insulin, Heparin, Levophed, and set rate Amiodarone
• Nurses read and document telemetry strips using Mindray monitors (8 units); no telemetry techs on unit
• Manage respiratory equipment including Hamilton C1 ventilator with CPAP and BiPAP, high-flow oxygen; ventilated patients are not kept on unit
• Respiratory treatments administered by nurses
• CNAs and PCTs assist with vital signs, charting, intake/output, and activities of daily living (ADLs)

Orientation & Support

• Unit-specific orientation available, typically 3-6 shifts depending on staffing
• Charge nurse present 24/7 but does not take patient assignments; covers ER as well
• No house supervisor; nursing supervisor available Monday-Friday

Additional Notes

• Experience in critical access facilities is appreciated
• The unit culture is collaborative and family-like, requiring staff to wear many hats
• Scrubs required, no specific color mandated

Required Qualifications

• Valid Registered Nurse (RN) license in North Dakota
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum 2 years of Med Surg nursing experience, including experience within the last year
• BLS certification issued by the American Heart Association
• ACLS certification issued by the American Heart Association
• PALS certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification